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FAQs on Epidural Injections – info from Florida pain clinics

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What is an Epidural Injection?

This is a conventional procedure for controlling pain arising from swollen nerve roots located in the spine. They are irritated due to discs leaking or due to bulges or to narrowing of the nerve canal. The epidural space is the area external to the sac Orlando Pain Clinicscontaining the spinal cord and fluid. The epidural steroid injection is placed in this space in order to control pain, swelling and irritation of the nerve roots. The relief from pain can be long lasting in most cases. However, in some cases the relief is brief or none is obtained.

Before the Procedure

If you are scheduled for an epidural injection, in the upper back portion, the neck or the arm, you don’t have any food or liquid restriction. However, those taking medications in the form of blood thinners and aspirins should stop the medication 5 to 7 days prior to the procedure.

What does the Procedure Involve?

The Florida pain management doctor  assesses the pain and then goes through your medical history. He will then examine you in relation to the pain symptoms and discuss the procedure, the risks and the benefits.

Once you are agreeable for the procedure, you will lie down on your stomach on a padded bed and a local anesthetic is used for numbing the specific area to be injected. A small needle is passed through the skin in order to locate the epidural space and the steroid is injected near the nerve roots that cause the pain. It is typically a painless procedure, but there may be some minor discomfort.

How long will it take to get Relief?

In case the epidural injection has been effective, you will see an improvement in the pain symptoms within a few days to a Pain Management Tampaweek after the procedure. However, it may not be effective for everyone. the local numbing medicine usually wears off after about 12 hours, and then the steroid will “kick in” within a couple days if it’s going to work. It may take a second or third procedure in a series over 4 to 6 weeks to obtain relief.

That series can be repeated every few months if the relief wears off. The relief may last a few weeks, or upwards of six months.

Steps to take after the procedure

At the procedure center, your vital signs will be monitored for 30 to 60 minutes after the procedure. You will need a ride to pick you up afterwards.

Are there any Risks to the Procedure?

The risks can be comparable to the risks of any other injection. There is a slight risk of infection, bleeding, nerve injury. It is possible in one out of hundred cases that the needle enters the sac with the fluid. In this case, you could have a headache for twenty four hours or so. There also may be slight increases in a patient’s blood sugars.Pain Management Fort Myers

Epidural steroid injections have been of the best inventions over the past 50 years and have been a constant for sciatica treatment. Pain management doctors in Florida perform these injections hundreds of times daily.

The Florida Pain Network connects those individuals in pain with pain management clinics throughout the state, including pain clinics in Orlando, Fort Myers pain management clinics, pain management West Palm Beach trusts and many more.

Visit THIS PAGE to find clinics closest to you, or simply call (877) 877-8556 for assistance today!


What is the Right Time to Say Yes to Surgery for Sciatica?

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At any one point in time, 1% of the US population is suffering from sciatica due to a herniated disc causing a pinched nerve. Having sciatica does not necessarily mean that surgery is going to be necessary, although it may feel as if the pain is so bad one needs it.

What is the right time for surgery for sciatica?Pain Management Tampa
If a person has no problems with bowel or bladder function, and there are no motor deficits and weakness involved, then surgery for sciatica becomes simply a quality-of-life decision. This means that the patient will need to consider how bad the pain is and gauge that versus the relief being obtained from nonoperative treatments.

If the symptoms are simply pain down the leg along with some electrical sensation and pins and needles feeling, then considerable conservative treatment should be trie prior to opting for surgery. In textbooks, the usual advice is to attempt conservative treatment for 6 to 8 weeks prior to considering an operation.

If an individual is dealing with more severe issues, then surgery should be considered sooner. This will include one condition that is a surgical emergency called cauda equina syndrome. In this syndrome, the patient’s spinal cord is being compressed and it can lead to permanent bowel and bladder problems if not addressed right away. While rare, it is a surgical emergency.

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Pinched nerve.

Another issue that is important but not an emergency is when an individual does have significant muscle weakness. This may include a foot drop which is difficulty lifting up one’s foot due to a pinched nerve. When this occurs consideration should be given to surgery. It can be watched for 6 to 12 weeks, but it is unclear after that whether or not it will ever improve even if a technically perfect surgery to un-pinche the nerve being compressed.

So with cauda equina syndrome, surgery is mandatory. With motor weakness, surgery should be considered and if the motor weakness is getting worse or not improving over time, then the nerves being pinched should be operated on.

And lastly, if an individual is simply having pain and numbness and is not getting better despite considerable conservative treatment over a 6 to 8 week period, then surgery can be considered as a quality-of-life decision. Studies have shown that while surgery can get patients back to work sooner and out of pain faster with surgery, the end result is the same at one year if surgery can be avoided. So that’s a consideration.Florida Pain Clinics

The Florida Pain Network connects those in pain with pain management clinics throughout Florida. This includes pain clinics in Orlando, Tampa pain management clinics, Fort Myers, Port St Lucie and many more. Simply visit THIS PAGE to find clinics close to you or call (877) 877-8556 for assistance.


Is Sedation Necessary for Epidural Steroid Injections?

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Each year in America, epidural steroid injections are one of the most common pain management procedures performed. These procedures help patients avoid surgery for sciatica along with being able to work, function and avoid the need for hefty doses opiate medications.Pain Clinic Orlando

Typically, epidural steroid injections are performed as an outpatient procedure in either a Florida pain clinics procedure room or an outpatient surgery center. Is sedation necessary for these injections?

A new study out the Mayo Clinic in Minnesota evaluated this question by looking back at thousands of epidural injections performed in their surgery center. The type of injections performed was a transforaminal epidural injection. 99.9% of the patients did not receive sedation for the procedures, rather, they simply received numbing medicine in the skin and soft tissues down to the injection area.

The overall success rate for these procedures was exceptionally high in line with averages across most studies. In addition, over half of the patients reported that they would recommend the procedure to a friend in a similar situation.

Pain Clinics in OrlandoSuccess without sedation in this study is great, however, it does not mean that there are not indications for sedation. For those individuals who have significant claustrophobia or anxiety, sedation may help relax the patient, especially in a time of significant pain. Also, if that individual has had pain management procedures before which were successful using sedation, then it may be the best idea to replicate the same environment.

Lastly, there are two different kinds of sedation. One involves IV sedation with the patient gets medication through a vein which is typically immediate onset and short lasting. The other option is for oral sedation, which involves the patient simply taking a Valium or other medication by mouth half an Pain Doctors Fort Myershour prior to the procedure. Both of these can be extremely effective, and for each one the patient will need a ride home after the procedure.

The bottom line here is that the vast majority of individuals undergoing an epidural steroid injection will not require sedation. However, there are indications for its usage. If you or a loved one is suffering from back pain or sciatica, let the Florida Pain Network help you.

The Network connects those in pain with pain management clinics in Florida. The Network has pain management Port St Lucie clinics, West Palm Beach, Orlando pain clinics and many more. Simply visit THIS PAGE and input your zip code to find those closest to you, or call (877) 877-8556 for assistance!


I Threw Out My Back Sneezing, is That Normal?

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I was reading an article this week about weird injuries and athletes. One was a football player who fell while shoveling snow and lacerated his spleen. Another was a football player who and sustained a concussion while celebrating after a touchdown. Both of these are truly unusual and weird.Florida pain clinics

Another one I saw listed as weird, however, did not quite fit the category. Another football player threw out his back while sneezing and ended up missing a game due to the pain. Is it normal for something like a sneeze to cause a person’s back to go out? Even when that person is a professional athlete?

The definitive answer is yes, it is normal, and it is not a weird injury at all. Each level of the spine has a shock absorbing intervertebral disc. Normally, these discs consist of 80% water along with 20% collagen and various proteins.

During the normal aging process as humans enter their 20’s and 30’s, the disc slowly starts to lose its water content. Based on various factors, including genetics, occupation, environmental factors (like smoking), a person’s disk may be more susceptible to degeneration than another.

As this degeneration slowly occurs, a person may not have any pain at all from it. It may accumulate until the point where even a slight trauma to the disk can cause a tear which may be excruciatingly painful. This may consist of a sneeze or lifting up a plate from a table, lifting up a small child or even just getting out of bed in the morning. So contrary to what a lot of people Pain Management Orlandothink, it is not necessary to sustain a hefty trauma to cause a person’s back to go out.

It may simply be significant slow degeneration over time with a minor incident then causing a tear in the out of part of the disc, which is where the nerve endings are and pain can result. It may sound unusual for a rock-solid 250 pound professional athlete to end up in bed for a couple days due to back pain after a sneeze, but they are still human!

In the case of the professional football player, this is most likely what happened and resulted in significant back pain and muscle spasms and the inability to play for a week.

So it was not a weird injury at all and actually occurs to millions of Americans every year. If you or a loved one has had their back go out and are experiencing acute or chronic pain as a result, let the Florida Pain Network help you.

The Network connects those in pain with pain relievers around the state, including Florida pain clinics in Port St Lucie, pain management Orlando clinics, pain clinics in Tampa, pain clinics in Miami and many others.

Simply put in your zip code HERE and the closest will pop up, or call (877) 877-8556 today.